Yes, I would like to receive emails from The Humane Society of Kitchener Waterloo & Stratford Perth, 250 Riverbend Drive, Kitchener, Ontario, Canada N2B 2E9. Website: kwsphumane.ca. Phone: 519-745-5615. | understand that I can unsubscribe at any time using the SafeUnsubscribe button found at the bottom of every email.
/ declare that / am the owner of the animal listed on this application and / am of legal age in the province of Ontario. I declare that the information / have given is truthful, complete and correct. / understand that / may be asked to provide proof of income; failing to do so will result in refusal of service from the KWHS Spay-Neuter Assistance Program. / have read the Spay-Neuter Assistance Program Terms and Conditions; / understand them in full and agree to adhere to them. / have read the Companion Animal Eligibility section and agree that my animal meets those requirements. / understand that any breech of conditions will end my participation in the KWHS Spay-Neuter Assistance Program.
Signature: **If submitting this form electronically please type full name into the signature spot. This will act as your official signature. Please return completed applications to the KWHS, 250 Riverbend Drive, Kitchener, ON N2B 2E9 or email to SNAP@kwsphumane.ca or fax to 519-745-3224.